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Palmoplantar Pustulosis with Pustulotic Arthroosteitis Involving Temporal Osteomyelitis and Meningitis
Author(s) -
Seno Akemi,
Arata Jiro,
Matsuura Yoshiko,
Suemitsu Ichizou
Publication year - 2000
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2000.tb02163.x
Subject(s) - palmoplantar pustulosis , medicine , osteomyelitis , pustulosis , meningitis , myositis , temporal bone , osteitis , surgery , dermatology , pathology , psoriasis
A 46‐year‐old man who had been suffering from palmoplantar pustulosis (PPP) for 3 years had anterior chest pain and left temporal pain from six months after the onset of his disease. A bone scan revealed abnormal uptake at the sternoclavicular joint and left temporal region. The head CT and MRI gave the diagnosis of temporal osteomyelitis with meningitis and myositis. His headache continued even after tonsillectomy and was effectively treated with cyclosporine A (3 mg/kg/day). Oral cyclosporine A was beneficial for the osteomyelitis and skin lesions. Sterile lytic bone lesions occurring most often at the sternocostoclavicular joint have been associated with PPP. However, there have been no reports of a PPP patient with temporal osteomyelytic involvement.